Journal article 29 views
A systematic review and meta-analysis of Dietary Inflammatory Index and the likelihood of multiple sclerosis/ demyelinating autoimmune disease
Esmaeil Yousefi Rad 
,
Somayeh Saboori ,
Thanasis G. Tektonidis,
Steve Simpson-Yap,
Jeanette Reece,
James R. Hebert,
Richard Nicholas,
Rod Middleton ,
Jonathan Tammam ,
Lucinda Black ,
Shelly Coe
,
Somayeh Saboori ,
Thanasis G. Tektonidis,
Steve Simpson-Yap,
Jeanette Reece,
James R. Hebert,
Richard Nicholas,
Rod Middleton ,
Jonathan Tammam ,
Lucinda Black ,
Shelly Coe
Clinical Nutrition ESPEN, Volume: 62, Pages: 108 - 114
Swansea University Author:
Rod Middleton
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DOI (Published version): 10.1016/j.clnesp.2024.04.022
Abstract
Diet and inflammation may contribute to the development of multiple sclerosis (MS). The aim of this systematic review and meta-analysis was to assess the association between proinflammatory diet, as estimated by the Dietary Inflammatory Index (DII®), and the likelihood of developing MS or other demy...
| Published in: | Clinical Nutrition ESPEN |
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| ISSN: | 2405-4577 |
| Published: |
Elsevier BV
2024
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| Online Access: |
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| URI: | https://cronfa.swan.ac.uk/Record/cronfa68038 |
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| Abstract: |
Diet and inflammation may contribute to the development of multiple sclerosis (MS). The aim of this systematic review and meta-analysis was to assess the association between proinflammatory diet, as estimated by the Dietary Inflammatory Index (DII®), and the likelihood of developing MS or other demyelinating autoimmune diseases. A systematic search was performed of search engines and databases (PubMed, ISI Web of Sciences, Scopus, and Embase) to identify relevant studies before 10th June 2023. The search identified 182 potential studies, from which 39 full-text articles were screened for relevance. Five articles with caseecontrol design (n 1⁄4 4,322, intervention group: 1714; control group: 2608) met the study inclusion criteria. The exposure variable was DII, with studies using two distinct models: quartile-based comparisons of DII and assessment of continuous DII. The meta-analysis of high versus low quartiles of DII with four effect sizes showed a significant association with MS/demyelinating autoimmune disease likelihood, with an odds ratio (OR) of 3.26 (95% confidence interval (CI) 1.16, 9.10). The meta-analysis of four studies with DII fit as a continuous variable showed a 31% increased likelihood of MS per unit increment; which was not statistically significant at the nominal alpha equals 0.05 (OR 1.31; 95% CI 0.95, 1.81). In conclusion, this systematic review and meta-analysis provides evidence of a positive association between higher DII scores with the likelihood of developing MS, highlighting that diet-induced inflammation could play a role in MS or other demyelinating autoimmune diseases risk. |
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| College: |
Faculty of Medicine, Health and Life Sciences |
| Funders: |
MS Society, Australian MS Society |
| Start Page: |
108 |
| End Page: |
114 |